Population‐based, nationwide registration of prostatectomies in Sweden. Issue 4 (29th July 2019)

• Record Type: Journal Article
• Authors: Cazzaniga, Walter; Godtman, Rebecka Arnsrud; Carlsson, Stefan; Ahlgren, Göran; Johansson, Eva; Robinson, David; Hugosson, Jonas; Stattin, Pär
• Is Part Of: Journal of surgical oncology. Volume 120:Issue 4(2019)
• Page Start: 803
• Page End: 812
• Publication Date: 2019-07-29
• Subjects: NPCR -- prostate cancer -- radical prostatectomy -- registry; Cancer -- Surgery -- Periodicals; Neoplasms -- Periodicals; 616
• DOI: 10.1002/jso.25643
• Languages: English
• ISSNs: 0022-4790

Abstract

Abstract: Introduction: Radical prostatectomy (RP) is a common surgical procedure with a risk of postoperative erectile dysfunction and urinary incontinence. There is a need for data on RP as a basis for quality assurance and benchmarking. Methods: In 2015, prostatectomies in Sweden (PiS) form was implemented in the National Prostate Cancer Register (NPCR) of Sweden with data on pre‐, peri‐ and post‐operative variables. Results: Out of all radical prostatectomies performed in 2016 in Sweden, 3096/3881 (80%) were registered in PiS. A total of 2605 (84%) were robot‐assisted radical prostatectomy (RARP) and 491 (16%) were RRP (retropubic radical prostatectomy). RARP was performed by 91 surgeons of whom 47% operated more than 25 RP/year; and RRP was performed by 69 surgeons of whom 10% performed more than 25 RP/year. RARP had a longer operative time (median operating time: RARP 155 minutes [IQR 124‐190]; RRP 129 minutes [IQR 105‐171]; P < .001) but was associated with smaller bleeding (median intraoperative blood loss: RARP 100 mL [IQR 50‐200], RRP 700 mL [IQR 500‐1100]; P < .001). Conclusions: We report on a nationwide, population‐based register with transparent reporting of data on the performance of radical prostatectomy. These data are needed as a basis for quality assurance with comparisons of results from individual surgeons and hospitals.